Endorsement Request JDW Truck Insurance

For each driver to be added. We need:
Full Name:
DOB:
DL#:
State Issued:
# of Years they have had their CDL:

To add trucks and/or trailers. We need Year, Make, Model and VIN#
Stated value of each if you require Physical Damage
We need to know what type of truck or tailer you are adding.
For trucks: Is it a Tractor, Box Truck, Dump etc,
For trailers: Is it a flatbed, dryvan, reefer, etc

Enter first and last name;

1) To delete a a driver. We need first and last name.
2) To delete trucks and/or trailers. We need the VIN# for each.

Please enter the VIN# of any trucks and/or trailers you wish to delete.

To add trucks and/or trailers. We need Year, Make, Model and VIN#
Stated value of each if you require Physical Damage
We need to know what type of truck or tailer you are adding.
For trucks: Is it a Tractor, Box Truck, Dump etc,
For trailers: Is it a flatbed, dryvan, reefer, etc,
If you need to add a Loss Payee to any trucks and/or trailers. Please upload that information also with the stated value required by you lender or leasing company

To add Driver/s:
For each driver to be added. We need:
Full Name:
DOB:
DL#:
State Issued:
# of Years they have had their CDL:

List VIN# and then Loss Payee
We need complete address: Name, Street/PO, City, State, ZIP
Plus stated value required on your loan and/or lease papers.